Provider Demographics
NPI:1487531885
Name:SENIOR HEALTH HOME SERVICES LLC
Entity type:Organization
Organization Name:SENIOR HEALTH HOME SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CD)
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:GATHERUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-397-4187
Mailing Address - Street 1:576 W 900 S STE 220
Mailing Address - Street 2:
Mailing Address - City:WOODS CROSS
Mailing Address - State:UT
Mailing Address - Zip Code:84010-8194
Mailing Address - Country:US
Mailing Address - Phone:801-397-4697
Mailing Address - Fax:
Practice Address - Street 1:598 W 900 S STE 230
Practice Address - Street 2:
Practice Address - City:WOODS CROSS
Practice Address - State:UT
Practice Address - Zip Code:84010-8195
Practice Address - Country:US
Practice Address - Phone:801-397-4040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RMC ENTERPRISES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty